手术室护士护理工作环境感知对工作家庭冲突的影响  

Effects of nurses＇ perception of nursing work environment in operating room on their work-family conflict

作　　者：万效梅[1] 王雅楠[1] 于桦[1] 刘琳娜[1] Wan Xiaomei;Wang Ya＇nan;Yu Hua;Liu Linna(Operating Room, the East District of Qingdao Municipal Hospital （Group）, Qingdao 266071, China)

机构地区：[1]山东省青岛市市立医院东院区手术室,266071

出　　处：《中华现代护理杂志》2018年第5期510-514,共5页Chinese Journal of Modern Nursing

摘　　要：目的 了解手术室护士护理工作环境感知和工作家庭冲突现状,并探讨影响手术室护士工作家庭冲突的因素,为护理管理者缓解手术室护士工作家庭冲突提供依据.方法 于2016年10—11月采用目的抽样法选择山东省青岛市4家医院的190名手术室护士,采用一般资料问卷、护士工作环境量表（PES-NWI）和工作家庭冲突量表对手术室护士进行问卷调查,调查内容包括手术室护士感知的护理工作环境状况和工作家庭冲突状况.运用分层多元回归分析方法探讨影响手术室护士工作家庭冲突的因素.结果 手术室护士感知的护理工作环境总分为（95.48±6.34）分,平均（3.08±0.44）分;手术室护士工作家庭冲突总分为（56.67±4.56）分,条目均分为（3.15±0.48）分.年龄、工作年限、职称、每月夜班数、婚姻状况及每日工作时间不同的护士工作-家庭冲突分量表得分差异有统计学意义（P〈0.05）;不同医院级别的护士家庭-工作冲突分量表得分差异有统计学意义（P〈0.05）.每月夜班数和护士感知的护理工作环境是影响手术室护士工作家庭冲突的主要因素（P〈0.05）,护理工作环境中护理管理者的能力及领导方式、医护合作、人力和物力资源充裕度、护士参与医院事务4个维度可共同预测40.0%的工作家庭冲突.结论 手术室护士认为手术室护理工作环境处于中等偏上水平;手术室护士工作家庭冲突处于中等水平,护士感知的护理工作环境是影响手术室护士工作家庭冲突的主要因素.护理管理者应重视对良好护理工作环境的创造,提高手术室护士对工作环境的认可度,从而有效缓解护士工作家庭冲突.Objective To understand the status quo of the nurses′ perception of their practice environment and the conflict between work and family,and to explore the influencing factors of the conflict, so as to provide references for nursing managers to alleviate the work-family conflict of the operating room nurses. Methods From October to November in 2016,a total of 190 operating room nurses from 4 hospitals in Qingdao Shandong Province were selected by purposive sampling method and investigated with a general information questionnaire,the practice environment scale of the nursing work index （PES-NWI） and the work family conflict scale. The content of the investigation included the perception of nursing practice environment and the conflict between work and family of operating nurses. The stratified multivariate regression analysis was used to explore the factors affecting the work-family conflict. Results The total score of operating room nurses′perception of the nursing practice environment was （95.48±6.34）,and the mean score was （3.08±0.44）. The total score of the work-family conflict was （56.67±4.56）,and the mean score was （3.15±0.48）. The differences of work-family conflict score among nurses with different ages,working years,professional titles,the number of monthly night shifts,marital status and daily working time were statistically significant （P〈 0.05）. Additionally, the difference of work-family conflict among nurses in different levels of hospitals was statistically significant （P〈0.05）. The number of night shifts per month and the perception of nursing practice environment are the main factors influencing the work-family conflict. 40.0% of work-family conflicts can be predicted jointly by four dimensions of the nursing administrators′ ability and leading style,the doctor-nurse cooperation,the sufficient of human and material resources and nurses′ participating in hospital affairs in nursing practice environment. Conclusions The operating room nurses consider that t

关 键 词：护士 手术室 工作环境 工作家庭冲突 

分 类 号：R47[医药卫生—护理学]